Routine inspection·October 27, 2021

Licensing Program Analyst (LPA) Elizabeth Hamilton conducted an annual required licensing inspection. This annual inspection was focused on infection control due to the COVID-19 pandemic. LPA was greeted by Resident Services Director (RSD), Corinna Norton and granted entry after identifying herself. LPA Hamilton explained the purpose of the visit to both RSD Norton and Executive Director, Craig Sumner. This facility serves five hundred and sixty (560) elderly residents; age 60 and above; one hundred and nineteen (119) may be non-ambulatory and five (5) may be bedridden. Hospice care waiver for fifteen (15). Facility is equipped with delayed egress. During today's visit, LPA toured the facility's Assisted Living tower and memory care units, and verified compliance with infection control practices. LPA and Executive Director, Sumner reviewed the facility’s COVID-19 Mitigation Plan. LPA observed one central entry point; a sign-in policy enacted for all visitors; signs throughout the facility to promote hand hygiene, face coverings worn by staff; hand sanitizer/hand washing stations readily available; a designated visitation area; and an adequate supply of disinfectants and PPE. Based on today's visit, no deficiencies were observed in the areas evaluated above. An exit interview was conducted with Executive Director, Sumner and a copy of this report along with the Licensee/Appeal Rights (LIC 9058) was provided via email. An electronic receipt of confirmation was requested to be sent upon receipt of the documents.